河南农村老年人预先指示的态度及影响因素分析  

Analysis of advance directive attitudes and its influencing factors in He′nan countryside aged people

作　　者：贺春艳[1] 郭燕[2] 袁彬彬[1] 王强[1] 

机构地区：[1]河南大学护理学院,开封475000 [2]河南省肿瘤医院工会,郑州450008

出　　处：《中华现代护理杂志》2015年第27期3250-3253,共4页Chinese Journal of Modern Nursing

摘　　要：目的：调查河南农村老年人对预先指示的态度现状,并分析预先指示的影响因素。方法采用目的抽样法选取河南省2个农村中的老年人共160人,对其人口统计学资料、活动功能（ P-ADL）、终末治疗态度、预先指示的态度进行调查,分析各变量对预先指示态度的影响。结果调查结果显示,4.4%的老年人听说过预先指示；39.1%的老年人愿意做预先指示。年龄、宗教信仰、是否患有慢性病、是否听过预先指示、理性治疗态度得分、积极治疗态度得分不同的老年人,其预先指示意向差异有统计学意义（P〈0.05）。多元回归分析显示,宗教信仰、是否听说过预先指示、理性治疗态度是老年人预先指示意愿的影响因素（P〈0.05）。结论农村老年人对预先指示的知晓率较低,少部分老年人愿意做预先指示,他们对待预先指示的态度与宗教信仰、有无听说过预先指示及理性治疗态度有关。护理人员应加强对农村老年人预先指示概念的推广,为愿意做预先指示的老人提供平台。Objective To investigate the advance directive′s attitudes status in He′nan the countryside elderly, and analyze advance indicative influencing factors. Methods The demography, personal activities of daily living （ P-ADL ） , final stage of cancer treatment, advance directive′s attitudes were investigated and analyzed each variables impacted on advance directive′s attitudes among 160 aged people selected from two villages of He′nan Province by purposeful sampling method. Results Result displayed that 4. 4% of aged people heard advance directive before and 39. 1% of them would be willing to do advance directive. For the elderly with different age, different religion, whether had chronic disease, whether heard advance directive before, different scores of rational treatment attitude and different scores of positive treatment attitude, the differences of advance directive had statistical significance （P〈0. 05）. Multiple regression analysis presented that religion, whether heard advance directive before and rational treatment attitude were influencing factors of the elderly willing to accept advance directive （P〈0. 05）. Conclusions The countryside aged people have low awareness rate of advance directive. A few of aged people would like to do advance directive, and their attitudes of advance directive have relationship with religion, whether heard advance directive before and rational treatment attitude. Nursing staffs should strengthen the concept promotion of advance directive in countryside aged people and provide a arena for aged people who are willing to accept advance directive.

关 键 词：老年人 农村 预先指示 活动能力 终末治疗 

分 类 号：C913.6[经济管理]